Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,737.80 / $5,128.61	Facility		$275.42	$1,737.80	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $549.54	Professional		$151.36	$275.42	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Professional		$83.18	$83.18	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $323.59	Professional		$186.21	$302.00	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $426.58	Professional		$194.98	$275.42	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,584.89 / $5,128.61	Facility		$275.42	$1,584.89	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $562.34	Professional		$194.98	$323.59	$562.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $416.87	Professional		$208.93	$302.00	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $6,025.60	Facility		$1,148.15	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $416.87	Professional		$199.53	$288.40	$416.87